Extracorporeal Membrane Oxygenation Successfully Resuscitated a Patient with Severe Transfusion-related Acute Lung Injury

Transfusion-related acute lung injury (TRALI) is a serious life-threatening complication of blood transfusion, and the available treatments are mainly supportive. Extracorporeal membrane oxygenation (ECMO) is currently being widely used in intensive care units for treating patients with respiratory failure, but is rare for TRALI. We report a 20-year-old man who sustained a crushing injury with close fracture of the right clavicle and scapula, the left pubic ramis and urethral disruption. TRALI developed within 72 h after a massive transfusion of blood products. The patient remained profoundly hypoxic despite protective strategy ventilation, and venovenous ECMO was administered. After one week of resuscitation using ECMO, his oxygenation improved and the patient was discharged in good condition.